Grage, Stacie Grace

Grage, Stacie Grace is an individual health care provider with primary practice located at 15675 Ambaum Blvd Sw , Burien WA 98166-2523. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Grage, Stacie Grace can be contacted via phone (206) 433-2125.

Contact Information

Primary practice address
15675 Ambaum Blvd Sw Burien WA 98166-2523
Phone: (206) 433-2125
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP00033122 Washington

Profile Details

NPI number 1134473010
LBN Legal business name Grage, Stacie Grace
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2012
Last updated Oct 31st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134473010 NPPES
Washington Other LP00033122 STATE

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